Provider Demographics
NPI:1972659118
Name:TORIGOE, ERIC STEPHEN (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:STEPHEN
Last Name:TORIGOE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:137 PEBBLE PL
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-3645
Mailing Address - Country:US
Mailing Address - Phone:925-828-1076
Mailing Address - Fax:925-828-1283
Practice Address - Street 1:9301 FIRCREST LN
Practice Address - Street 2:SUITE 4
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-3960
Practice Address - Country:US
Practice Address - Phone:925-829-4523
Practice Address - Fax:925-829-4892
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA258451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice